Recognition and management of pesticide poisonings J. Routt Reigart, James R. Roberts docx

[...]... Government Agencies: EPA Office of Pesticide Programs Overall pesticide regulation with special programs on agricultural workers and pesticide applicators Specific programs include the promotion of the reduction of pesticide use, establishment of tolerance levels for food, and investigation of pesticide releases and exposure events Address: Telephone: Web site: EPA – Office of Pesticide Programs 401... science-based pesticide information on a wide range of pesticide- related topics, such as recognition and management of pesticide poisonings, safety information, health and environmental effects, referrals for investigation of pesticide incidents and emergency treatment for both humans and animals, and cleanup and disposal procedures A toll-free telephone service provides pesticide information to callers in the... timing of suspected exposure to the hazardous agent The Index of Signs and Symptoms in Section V provides a quick reference to symptoms and medical conditions associated with specific pesticides Further details on the toxicology, confirmatory tests, and treatment of illnesses related to pesticides are provided in each chapter of this manual A general understanding of pesticide classes and some of the... www.epa.gov/pesticides EPA – Certification and Worker Protection Branch Within the Office of Pesticide Programs, the Certification and Worker Protection Branch addresses worker-related pesticide issues and pesticide applicator certification activities Special emphasis is placed on the adequate training of farm workers, pesticide applicators, and health care providers Various training ENVIRONMENTAL AND OCCUPATIONAL... toxicological, and pesticide product literature, and direct communications with experts in clinical toxicology and pesticide toxicology and environmental and occupational health specialists A list of the major text sources follows this introduction Reference 1 Institute of Medicine Role of the Primary Care Physician in Occupational and Environmental Medicine, Washington, DC: Institute of Medicine, 1988 Texts and. .. HISTORY formation, and setting acceptable food and water tolerance levels In addition, EPA works in partnership with state and tribal agencies to implement two field programs — the certification and training program for pesticide applicators and the agricultural worker protection standard — to protect workers and handlers from pesticide exposures EPA sets national standards for certification of over 1 million... earlier, pesticide case reporting is legally mandated Regulatory Agencies Since its formation in 1970, EPA has been the lead agency for the regulation of pesticide use under the Federal Insecticide, Fungicide and Rodenticide Act EPA’s mandates include the registration of all pesticides used in the United States, setting restricted entry intervals, specification and approval of label in- 24 ENVIRONMENTAL AND. .. Jr., Editors Academic Press, San Diego, CA 1991 Handbook of Poisoning: Prevention, Diagnosis and Treatment, 12th Edition Robert H Dreisbach and William O Robertson Appleton and Lange, East Norwalk, CT, 1987 Herbicide Handbook, 7th Edition Weed Science Society of America, 1994 Medical Toxicology: Diagnosis and Treatment of Human Poisoning Matthew J Ellenhorn and Donald G Barceloux Elsevier, New York, NY,... compounds, use of lorazepam has not been reported in the literature Diazepam is often used for this, and is still used in other pesticide poisonings Dosage of Diazepam: • Adults: 5-10 mg IV and repeat every 5-10 minutes to maximum of 30 mg • Children: 0.2-0.5 mg/kg IV every 5 minutes to maximum of 10 mg in children over 5 years and 5 mg in children under 5 years 14 • GENERAL PRINCIPLES Dosage of Lorazepam:... hazards and the pesticide of interest (e.g., pesticide intoxication and heat stress in agricultural field workers) Thus, the following section on pesticide exposures should be seen in the context of an overall exposure assessment Most pesticide- related diseases have clinical presentations that are similar to common medical conditions and display nonspecific symptoms and physical signs Knowledge of a patient’s . h0" alt="" R ECOGNITION AND M ANAGEMENT OF P ESTICIDE POISONINGS Fifth Edition, 1999 J. Routt Reigart, M.D. Professor of Pediatrics, Medical University of South Carolina James R. Roberts, M.D.,. M.P.H. Assistant Professor of Pediatrics, Medical University of South Carolina Support for this publication was provided by: Certification and Worker Protection Branch Field and External Affairs Division Office. process possible and easier than anticipated. Gilah Langner of Stretton Associates, Inc., provided editorial super- vision. Will Packard and Sarah Carter of Free Hand Press, Inc. were responsible for the format